U.S. Journalist in Iran's Evin Prison Releases Audio on Dire Conditions

Five U.S. citizens remain detained in Iran; Valizadeh has been imprisoned since 2024 with no family visits for five months; Hekmati denied cancer treatment and forced back to prison; tuberculosis exposure affecting multiple inmates.
Medical care in the prison is almost non-existent. Diseases eradicated decades ago have returned.
Valizadeh describes the health crisis inside Evin Prison in his smuggled audio message.
Mark

Why would Valizadeh risk releasing this audio at all? What does he gain?

Mimi

He gains the possibility that someone outside hears him. Inside Evin, he's isolated—no family visits for five months, no one to advocate for him directly. An audio message is a way to make his reality undeniable.

Mark

The tuberculosis detail is striking. How does a disease like that spread in a modern prison?

Mimi

It spreads because there's no medical care, no isolation protocols, no basic hygiene infrastructure. One man coughed blood for six months before anyone intervened. By then, ten months of exposure had already happened.

Mark

What's the significance of transferring non-political prisoners into the political ward?

Mimi

It's a deliberate fracturing tactic. Political prisoners have solidarity, collective voice. If you mix in people convicted of financial crimes, you dilute that unity and make organized resistance harder. It's also a way to worsen conditions without officially changing policy.

Mark

Hekmati was supposed to get chemotherapy. One month into a 45-day leave, he's sent back. Why would Iran do that?

Mimi

Control. The message is: your health, your life, your treatment—none of it matters more than our authority over you. It's punishment dressed up as administration.

Mark

The Trump administration says it's working diligently. Does that mean anything?

Mimi

It means they're talking. It doesn't mean these men are coming home soon, or that their cases are actually being prioritized in negotiations. Valizadeh's attorney is essentially saying: prove it by making their release a condition of any deal.

  • A tuberculosis outbreak has been spreading through Evin's political ward for months, with one prisoner coughing blood for half a year before authorities acted — and no accounting of how many others were exposed.
  • Prison staff are intercepting medications delivered by families, doctors are described as incompetent and indifferent, and detainees are going without treatment until their bodies reach crisis point.
  • Kamran Hekmati, 61 and battling what is believed to be recurring cancer, was pulled back to prison after just one month of approved medical leave — before a single chemotherapy session could be completed.
  • Valizadeh has been barred from seeing his family for five months, with authorities framing the isolation as both punishment for complaints and a wartime necessity.
  • His attorney is pressing the Trump administration to name these detainees explicitly in nuclear negotiations with Iran, but the White House has never publicly confirmed doing so despite months of talks.

From inside one of Iran's most notorious prisons, a smuggled voice reminds the world that detention can become a slow erasure of the human person. Reza Valizadeh, an American journalist held at Evin Prison since 2024, has sent word of tuberculosis outbreaks, stolen medicines, and a fellow American cancer patient recalled from treatment before chemotherapy could begin. His message arrives at a moment when diplomacy moves in silence and five U.S. citizens remain caught between two governments — one that imprisons them, and one that has yet to publicly name them at the negotiating table.

An audio recording smuggled out of Evin Prison this week carries the voice of Reza Valizadeh, an American journalist and former Radio Free Europe correspondent who has been held there since 2024. His attorney authorized its release — a decision that carries real risk for the man behind the microphone. CBS News obtained the recording.

Valizadeh is one of five U.S. citizens currently detained in Iran, two of them inside Evin itself. In his message, he describes a facility in institutional collapse: no library access, no exercise, almost no medical care, and prison staff routinely stealing medicines that families manage to deliver. The doctors, he says, are unmotivated and underqualified, so most prisoners avoid seeking help until they are critically ill.

The most urgent detail is disease. Tuberculosis — both pulmonary and gastrointestinal — has returned to the prison. One inmate showed severe symptoms, including coughing up blood and severe weight loss, for six months before being transferred to an outside hospital. By then, he had spent roughly ten months in close contact with other detainees. The scale of potential exposure remains unknown.

The case of Kamran Hekmati, a 61-year-old Iranian-American from New York, illustrates the cruelty of the system. Arrested in 2025 on charges tied to past travel to Israel, he was granted a 45-day medical furlough to begin chemotherapy for what is believed to be recurring cancer. After just one month — treatment still incomplete — he was ordered back to prison. He turns 62 next week, behind bars.

Valizadeh has been denied family visits for five months, a punishment he links directly to his decision to raise grievances. His attorney has called on the Trump administration to name these detainees explicitly in its ongoing negotiations with Iran. The administration says it is working diligently on their release, but has never publicly confirmed raising their cases at the table. Iran's UN mission offered no comment. For Valizadeh, the silence is part of the punishment — which is why he chose to speak.

An audio message smuggled out of Iran's Evin Prison this week carries the voice of a man describing conditions that sound less like a modern detention facility and more like a place where basic humanity has been suspended. Reza Valizadeh, a U.S. citizen and journalist who has been held there since 2024, recorded an update on the state of the prison and the fate of a fellow American inmate. CBS News obtained the recording, and Valizadeh's attorney has authorized its release—a decision that carries real risk for the man behind the microphone.

Valizadeh worked for Radio Free Europe's Persian language service before his arrest. He is one of five Americans currently detained in Iran, two of them at Evin itself. The other three are believed to be trapped under exit bans, prevented by Iranian authorities from leaving the country. His latest message focuses on two interconnected crises: the deteriorating conditions inside the prison walls, and the specific case of Kamran Hekmati, a 61-year-old Iranian-American from New York who was arrested in 2025 on charges related to past travel to Israel. Both men are considered wrongfully detained by the U.S. State Department.

In his recorded statement, Valizadeh describes a prison system in collapse. For more than a year, inmates have been denied access to the library and exercise facilities. Medical care is, by his account, almost nonexistent—only the most basic medications are available, and even those are often intercepted. He reports that prison staff routinely steal medicines that families manage to deliver to their relatives inside. The doctors, he says, are unmotivated and lack professional competence, which means most prisoners avoid seeking treatment until their condition becomes critical.

The most alarming detail concerns disease. Valizadeh reports that tuberculosis has returned inside Evin—both pulmonary and gastrointestinal forms. One prisoner exhibited severe symptoms, including coughing up blood and dramatic weight loss, for six months before authorities finally transferred him to an outside hospital when his condition became life-threatening. By that point, he had spent roughly ten months in close quarters with other inmates. No one knows how many prisoners may have been exposed to or infected. The prison's food is so poor in quality that most detainees refuse to eat it. Recently, authorities have begun transferring non-political prisoners—those convicted of financial crimes—into the political prisoners' ward, a move Valizadeh believes is designed to fracture the unity of the political detainee population and strain already inadequate space and facilities.

Punishment for even minor complaints about conditions is swift and severe. Valizadeh has not been allowed to see his family for five months. He attributes part of this to explicit retaliation for raising grievances, and part to what authorities justify as wartime restrictions. The isolation compounds the physical dangers of the environment itself.

Hekmati's case illustrates the broader pattern. He was granted medical leave to seek treatment for what is believed to be recurring cancer. His approved furlough was supposed to last 45 days—time enough to begin chemotherapy. After just one month, with his treatment still incomplete, he was ordered back to prison. His advocate, Kieran Ramsey of Global Reach, confirmed that Hekmati was unable to obtain the chemotherapy he needed during his brief time outside. He turns 62 next week, and he is back behind bars.

Valizadeh's attorney, Ryan Fayhee, has called on the Trump administration to prioritize the release of these detainees in its ongoing negotiations with Iran. The administration has stated that it is closely tracking Valizadeh's case and working diligently to secure the release of all U.S. citizens detained there. But it has never publicly confirmed that it has raised these specific cases during months of negotiations. When CBS News contacted the Iranian mission at the United Nations for comment, they offered none. For Valizadeh, the silence is part of the punishment. He released this message because he is desperate, and because he believes the world needs to know what is happening inside Evin's walls.

Medical care in the prison is almost non-existent. Only the most basic medications are available, and many medicines delivered by families are stolen by prison staff before reaching prisoners.
— Reza Valizadeh, in recorded statement from Evin Prison
It is essential that President Trump prioritize the release of these detainees in his negotiations with Iran.
— Ryan Fayhee, Valizadeh's attorney
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